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Abstract:

In Brief:

Fifteen-year results of our randomized trial on older women with early breast cancer and clinically negative axillary nodes, treated by quadrantectomy and tamoxifen, show indistinguishable overall survival and breast cancer mortality in the axillary dissection and no axillary dissection arms. Axillary dissection can be avoided in older patients.

Abstract:

In Brief:

Reported is a 5-year outcomes in 219 older women with early breast cancer and clinically negative axillary nodes, treated by quadrantectomy and tamoxifen, and prospectively randomized to axillary dissection or not. Breast cancer mortality and overall survival did not differ between arms; axillary dissection can thus be avoided in such patients.

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